Iowa HF636 mandates dental carriers to reimburse providers for approved services and prohibits denial of claims.

Iowa HF636 establishes rules for prior authorization in dental care services. It requires dental carriers to reimburse providers for services approved by prior authorization. The bill prohibits carriers from denying claims for these services, except under specific conditions such as ineligibility of the covered person, fraud, or inaccurate information. The requirements cannot be waived by contract, and any contradictory contract is null and void. The commissioner of insurance may adopt rules to administer this section.

Iowa HF636 mandates dental carriers to reimburse providers for approved services and prohibits denial of claims.

Iowa HF636 establishes rules for prior authorization in dental care services. It requires dental carriers to reimburse providers for services approved by prior authorization. The bill prohibits carriers from denying claims for these services, except under specific conditions such as ineligibility of the covered person, fraud, or inaccurate information. The requirements cannot be waived by contract, and any contradictory contract is null and void. The commissioner of insurance may adopt rules to administer this section.